ABSTRACT
A hospital based cross-sectional study to evaluate the ENT manifestations in pregnancy included 100 pregnant women attending departments of Obst & Gynae and ENT, SMGS Hospital, GMC Jammu for ENT manifestations. In the present study, majority of pregnant women were primigravidas in age group of 21-30 years and mostly reported in third trimester. Out of 49 cases diagnosed with otological conditions, tinnitus was found in 10 cases (20.4%), ET dysfunction in 10 cases (20.4%) and least common was otosclerosis in only one case (2%). Out of 52 cases diagnosed with rhinological conditions, most common condition was epistaxis in 22 cases (42.36%), rhinitis in 15 cases (28.8%) and only one case (1.9%) of nasal pyogenic granuloma. Out of 30 cases diagnosed with laryngopharyngeal and esophageal condition, GERD was most common i.e. in 29 cases (96.6%) and dysphonia in only one case (3.33%). Out of 100, 11 cases were related to neck, out of which hypothyroidism was most common i.e in 7 cases (63.6%). Out of 100, 17 pregnant women were reported with oral cavity conditions with 8 cases (47%) of dysguesia, 2 cases (11.7%) of ulcerative stomatitis, 1 case each of gingivitis, pyogenic granuloma palate, pyogenic granuloma of gingiva, submandibular abscess and Parotid abscess. The changed hormonal milieu during pregnancy causes otological conditions leading to hearing impairment, epistaxis, rhinitis , GERD etc. Hypothyroidism is common as our area falls in the area of goiter belt.
ABSTRACT
In a prospective, randomized controlled trial, forty consecutive adult patients with bilateral nasal polyps were randomized into two groups. Twenty subjects in Group A were treated with oral prednisolone for 14 days and budenoside nasal spray for 8 weeks while the twenty subjects in Group B received a similar treatment with additional oral montelukast for 8 weeks. Subjects completed a modified nasal ICSD symptom score at the start of treatment and at 8 and 12 weeks after beginning the treatment. Symptom scores improved in both the groups after treatment. Subjects in Group B reported a statistically significant improvement in sense of smell (p = 0.0002), sneezing (p = 0.008) and overall score (p = 0.0006) at 8 weeks than controls. Four weeks after the completion of treatment, a statistically significant improvement was seen in the sense of smell (p = 0.0006), headache (p = 0.03) and overall score (p = 0.003) in patients in Group B when compared to Group A. Montelukast therapy may have clinical benefit as an adjunct to oral and inhaled steroid in chronic nasal polyposis.
ABSTRACT
Neurilemmomas are rare neurogenic tulnours. Their parapharyngeal location is uncommon. Three patients of neurilemmomas of this location are described. Different modes of presentation, radiological findings and management of these cases are discussed.
ABSTRACT
Involvement of thyroid gland with tuberculosis is extremely rare. The authors report a case of tuberculous, thyroiditis.